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근거중심한의약 DB

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Title

Effectiveness of dry needling for chronic nonspecific neck pain: a randomized, single-blinded, clinical trial.

Authors

Cerezo-Téllez E, Torres-Lacomba M, Fuentes-Gallardo I, Perez-Muñoz M, Mayoral-Del-Moral O, Lluch-Girbés E, Prieto-Valiente L, Falla D.

Journal

Pain.

Year

2016

Vol (Issue)

157(9)

Page

1905-17.

doi

10.1097/j.pain.0000000000000591.

PMID

27537209

Url

http://www.ncbi.nlm.nih.gov/pubmed/27537209

MeSH

Acupuncture Therapy/methods*
Acupuncture Therapy/standards
Adult
Aged
Chronic Pain/therapy
Disability Evaluation
Female
Humans
Longitudinal Studies
Male
Middle Aged
Muscle Strength/physiology
Neck Muscles/physiopathology
Neck Pain/therapy*
Pain Measurement
Pain Threshold/physiology
Pressure/adverse effects
Range of Motion, Articular/physiology
Retrospective Studies
Single-Blind Method
Time Factors
Trigger Points/physiology

Keywords

Myofascial pain syndromes; Physical therapy; Neck pain; Dry needling; Myofascial trigger point; Stretching

한글 키워드

근막 통증 증후군; 물리치료; 목 통증; 건침; 근막 통증 유발점; 스트레칭

KMCRIC
Summary & Commentary

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Korean Study

Abstract

Chronic neck pain attributed to a myofascial pain syndrome is characterized by the presence of muscle contractures referred to as myofascial trigger points. In this randomized, parallel-group, blinded, controlled clinical trial, we examined the effectiveness of deep dry needling (DDN) of myofascial trigger points in people with chronic nonspecific neck pain. The study was conducted at a public Primary Health Care Centre in Madrid, Spain, from January 2010 to December 2014. A total of 130 participants with nonspecific neck pain presenting with active myofascial trigger points in their cervical muscles were included. These participants were randomly allocated to receive: DDN plus stretching (n = 65) or stretching only (control group [n = 65]). Four sessions of treatment were applied over 2 weeks with a 6-month follow-up after treatment. Pain intensity, mechanical hyperalgesia, neck active range of motion, neck muscle strength, and perceived neck disability were measured at baseline, after 2 sessions of intervention, after the intervention period, and 15, 30, 90, and 180 days after the intervention. Significant and clinically relevant differences were found in favour of dry needling in all the outcomes (all P < 0.001) at both short and long follow-ups. Deep dry needling and passive stretching is more effective than passive stretching alone in people with nonspecific neck pain. The results support the use of DDN in the management of myofascial pain syndrome in people with chronic nonspecific neck pain.

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